MDHearingAid Neo XS vs. ReSound Vivia

Neo XS is an instant-fit in-ear OTC hearing aid that offers improvements in MDHearing's product line in terms of rechargeable battery life, audio processing, and size. However, our lab testing found its performance underwhelming.

ReSound Vivia packs flagship AI processing into one of the smallest microRIE designs we’ve tested, delivering crisp sound in quiet, excellent all-day battery life, and best-in-class LE Audio/Auracast connectivity, even if its AI noise reduction isn’t as dominant as the marketing suggests in the toughest listening environments.

MDHearing Neo XS achieved a SoundScore of 2.9/5 and a SoundGrade of C in HearAdvisor lab testing. It ranked #63 of 65 OTC Hearing Aid devices tested. The OTC Hearing Aid category average SoundScore was 3.68/5.

Resound Vivia 9 60S microRIE achieved a SoundScore of 3.9/5 and a SoundGrade of B in HearAdvisor lab testing. It ranked #29 of 39 Prescription Hearing Aid devices tested. The Prescription Hearing Aid category average SoundScore was 4.19/5.

Neo XS do not have an ingress rating but they appear to be well built. The charging case feels sturdy and should offer good protection when Neo XS are recharging or otherwise not in use.

Resound Vivia microRIE have an excellent build quality with a robust, portable charging case and a high ingress rating of IP68.

Neo XS offers internal rechargeable batteries lasting up to 18 hours. This should be enough to get you through your day without needing a recharge.

Vivia microRIE offer all-day battery life up to 30 hours, with 24 hours being more typical. The portable charger is also robust and will recharge Vivia in 3 hours.

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Vivia are compatible with both iOS and Android, offering wireless audio streaming and hands-free calls. They are also Bluetooth Auracast enabled.

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I found Resound's Smart3D app easy to use with many useful features, including "Check My Fit" which helps with correct insertion. The app unfortunately lacks health and fitness tracking.

Neo XS are relatively comfortable in ear. However, using the button caused minor discomfort as it required some force which pushed the hearing aid deeper into my ear.

Vivia microRIE were extremely comfortable and lightweight in my ears. In general, hearing care providers can make numerous physical changes to prescription hearing aids like Real to improve comfort.

Neo XS are smaller than other MDHearing aids and many OTC products. If you are interested in discrete hearing aids Neo XS are nearly invisible in your ears.

Vivia are sleek, smaller than ever, and modern looking prescription hearing aids. They also allow you to customize the look of your hearing aids with an array of color options.

MDHearing Neo XS has a value score of 3.9/5 based on lab performance and public display price.

Resound Vivia 9 60S microRIE has a value score of 3.1/5 based on lab performance and public display price.

Neo XS are relatively small hearing aids which may be difficult for individuals with vision and or dexterity issues. This should not be a problem for most but MDHearing does offer assistance from licensed professionals if needed.

Vivia are easy to use and adjust using either the large multi-function button or Smart3D app. I had no issues making adjustments with either.

MDHearing does not offer in-person support or remote programming. You do however receive free lifetime phone and online help from their licensed hearing professionals. This is a nice offering especially if you are new to hearing aids.

Prescription hearing aids like Vivia are fit by hearing care providers so you should receive quality care. The Smart3D app also opens the possibility for remote programming and virtual follow-up appointments.